| NPI | 1093282600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1074375) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-09-19 |